| NPI | 1164570503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN HARRINGTON Director Of Credentialing 205-251-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-02-03 |